An Econometric Analysis of the Quality of Hospital Care in Italy: Market Characteristics and Policy Choices within Regions and Local Health Units (LHUs)

Name: An Econometric Analysis of the Quality of Hospital Care in Italy: Market Characteristics and Policy Choices within Regions and Local Health Units (LHUs)
Brand: Vita e Pensiero
Price: 6.00 EUR
Availability: OnlineOnly

digital

An Econometric Analysis of the Quality of Hospital Care in Italy:
Market Characteristics and Policy Choices within Regions
and Local Health Units (LHUs)

Article

Magazine

RIVISTA INTERNAZIONALE DI SCIENZE SOCIALI

Issue

RIVISTA INTERNAZIONALE DI SCIENZE SOCIALI - 2016 - 3-4

Title

An Econometric Analysis of the Quality of Hospital Care in Italy: Market Characteristics and Policy Choices within Regions and Local Health Units (LHUs)

Author

Lara Gitto

Publisher

Vita e Pensiero

Format

Article |

Pdf

Pages

Online from

01-2017

Issn

0035-676X (print) | 1827-7918 (digital)

€ 6.00

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Description

Hospital financing, in Italy, is governed through Diagnosis Related Groups (DRGs) reimbursement system. National legislation allows Regions to set autonomously their own tariffs; Regions can also decide other aspects of the hospital care, such as the public-private mix, the relationship among health policy authorities and providers, etc. All these arrangements are expected to impact on quality of hospital care. The aim of this study is that of clarifying which factors may affect quality, as measured by the National Program for Outcome Assessment (Programma Nazionale Valutazione Esiti – PNE). A truncated regression model has been applied. The variables used to represent quality, among those ones available within the PNE, include mortality and readmission rates for Acute Myocardial Infarction (AMI), Congestive Heart Failure (CHF), Stroke and Chronic Obstructive Pulmonary Disease (COPD). The results confirm the hypothesis that factors related to demand, supply and the reimbursement scheme may explain quality outcomes.